Heart failure in cystic fibrosis. Treatment and prognosis of cor pulmonale with failure of the right side of the heart.

Autor: Stern RC, Borkat G, Hirschfeld SS, Boat TF, Matthews LW, Liebman J, Doershuk CF
Jazyk: angličtina
Zdroj: American journal of diseases of children (1960) [Am J Dis Child] 1980 Mar; Vol. 134 (3), pp. 267-72.
DOI: 10.1001/archpedi.1980.02130150025007
Abstrakt: Failure of the right side of the heart with cardiac dilation and fluid retention occurred in 55 of 170 patients who died of cystic fibrosis; six patients survive. All had severe hypoxia, but 24% had normal PaCO2. Cardiac catheterization showed high mean pulmonary artery pressure and resistance. Pulmonary artery wedge pressure was greater than 12 mm Hg in 40% of the patients. Mean survival was eight months. Male survival was significantly better than female survival. Digitalis treatment was of no clear benefit. Tolazoline hydrochloride was also ineffective. Recent medical advances have not substantially affected prognosis.
Databáze: MEDLINE